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Individual

KAITLYN NICOLE COSTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S, CF-SLP

Contact information

Practice address
400 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621
(336) 835-0303
(336) 526-4548
Mailing address
180 PARKWOOD DR, ELKIN, NC 28621-2430
(336) 527-7000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1903042
NC

Other

Enumeration date
07/11/2018
Last updated
07/11/2018
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